A case study utilizing spinal manipulation and dynamic neuromuscular stabilization care to enhance function of a post cerebrovascular accident patient

摘要

Introduction: This case report demonstrated physical function improvement of a 31-year-old male, four years post cerebral vascular compromise, with 32 weeks of Chiropractic adjustive and Dynamic Neuromuscular Stabilization (DNS) rehabilitation care. Methods: Chiropractic care occurred weekly over a 32 week care program with the inclusion of DNS treatments over the final 16 weeks. Functional changes were tracked via Low Back Bournemouth assessment, objective findings and independent clinical examination. Results: Throughout care the patient progressed with non-assisted ambulation, global improvement in balance and movement pattern, decreased Low Back Bournemouth assessment scores from 43% to 23%. Discussion: This therapeutic approach reduced the patient's physical disabilities, enhancing quality of life. Conclusion: Chiropractic adjustive care combined with DNS treatment improved functional deficits warranting consideration in subsequent care investigations.